Publication Search

Regular exercise plays a crucial role in maintaining and improving immune system function, especially in female athletes who experience hormonal and physiological stress during training. This review article aims to explain the effects of aerobic and anaerobic exercise on humoral immune parameters and stress hormone responses in female athletes compared to inactive women. Based on the results of various studies, moderate and consistent physical activity can increase levels of immunoglobulins (IgA, IgG, and IgM) and strengthen immune protection. On the other hand, high-intensity or excessive exercise can increase cortisol and ACTH levels, potentially suppressing immune function temporarily. Research findings also show that female athletes have a better immune profile compared to inactive women, as indicated by increased natural killer cell activity and lymphocyte proliferation. However, excessive exercise can lead to immunological imbalance. Therefore, moderate-intensity exercise and well-planned training programs are proven to maintain endurance and prevent the risk of immune decline. This review is expected to broaden the understanding of sports immunology and women's health.

The use of technological resources, especially the internet, has a very important role in supporting the effectiveness of the implementation of the flipped classroom model. Through internet access, students can prepare before face-to-face learning by watching learning videos, reading materials, or doing exercises independently. This allows the classroom teaching and learning process to be more interactive, where face-to-face time can be focused on discussion, problem-solving, and application of concepts. Based on survey data collected from students of SMK Dewata Bali Denpasar, it is known that optimal use of the internet helps increase students' understanding and interest in learning science subjects. However, as time went by, it was found that some of the material was still difficult for students to understand and remember. Therefore, educators need to choose the learning platform that is most effective in supporting the implementation of this model. Using the ELECTRE (Elimination and Choice Expressing Reality) method, this study assessed various platforms such as features, price, ease of use, and user survey results. The results show that Google Classroom is the most suitable and efficient platform to support reverse learning because of its ability to integrate various learning media, ease of access, and support for interaction between teachers and students.

Adolescent girls living in orphanages face more complex psychosocial challenges compared to their peers in general. Experiences of loss, limited family support, and uncertainty about the future often lead to heightened anxiety. One effective psychological intervention to manage anxiety is mindful breathing training, or conscious breathing exercises. This community service activity aimed to provide mindful breathing training for adolescent girls at the Aisyiyah Muhammadiyah Orphanage in Banjarmasin as an effort to reduce anxiety and enhance inner calmness. The implementation method employed educational, participatory, and practical approaches, consisting of four stages: preparation, implementation, evaluation, and follow-up. The results of the activity showed that participants gained a good understanding of the concepts of anxiety and mindfulness, and were able to correctly practice the mindful breathing technique. Based on the evaluation results, more than 80% of participants stated that the training was engaging, clear, and beneficial in helping them manage anxiety. Therefore, mindful breathing training proved to be an effective, simple, and applicable strategy for reducing anxiety levels among adolescents in the orphanage.

The study of classical Islamic texts (kitab kuning) in Islamic boarding schools (pesantren) plays a crucial role in strengthening students’ religious understanding as well as enhancing their mastery of the Arabic language. One of the foundational texts taught is Mubadi’ Fiqih, which contains basic principles of Islamic jurisprudence and serves as an introductory bridge for students to comprehend Arabic religious texts. This research aims to analyze the implementation of Mubadi’ Fiqih learning as an effort to strengthen students’ understanding of fiqh and enrich their Arabic vocabulary (mufrodat) at Ma’had Walisongo 1 Maron, Probolinggo. The study employs a qualitative approach with a case study design. Data were collected through classroom observations, in-depth interviews with the headmaster, teachers, and students, as well as documentation of the learning process. The findings reveal that the learning process applies bandongan and sorogan methods, supported by vocabulary translation exercises and contextual explanations of fiqh terminology. These strategies effectively enhance students’ comprehension of basic Islamic legal concepts while simultaneously expanding their Arabic vocabulary in religious contexts. Moreover, the teachers’ consistency in explaining Arabic sentence structures and assigning vocabulary memorization tasks significantly supports the learning outcomes. However, challenges such as students’ varying initial language proficiency and limited class time remain obstacles to achieving optimal results. Overall, the Mubadi’ Fiqih learning approach proves to be an effective integrative medium for strengthening both fiqh knowledge and Arabic linguistic competence among pesantren students.  

This article examines the development of students' digital competencies through the Merdeka Belajar – Kampus Merdeka (MBKM) Internship Program at the Regional Civil Service Agency (BKD) Office of Central Kalimantan Province. The MBKM policy aims to improve student competencies through flexible learning outside the campus, including internships that bridge the academic theory of the Islamic Education Management Study Program with workplace practices. The research method used a task-based participatory approach over a period of 4 months (July-November 2023), with intensive guidance from BKD staff and academic advisors, focusing on documenting routine activities, multimedia editing, and content production for social media. The results show that students successfully documented 12 morning assemblies, 8 morning exercises, and more than 15 BKD Head events, as well as educational content such as the “ASN Berakhlak” series published on Instagram @bkdprovkalteng, increasing the engagement rate through editing with Canva. The discussion emphasized the effectiveness of link and match in developing digital skills, creativity, and resilience, supported by relevant research references. The conclusion stated that this program was effective in preparing graduates for work, with recommendations for expanding digital ethics training and broader collaboration. This article contributes to the understanding of MBKM practices in local government agencies.

Hypertension is a major factor contributing to high mortality rates and is often identified as the silent killer. Various non-pharmacological interventions have been developed to help lower blood pressure, such as the use of acupressure, herbal remedies, relaxation breathing exercises, meditation, aromatherapy, and reflexology on the soles of the feet. The focus of this study is to examine the effects of reflexology on the soles of the feet on blood pressure dynamics in individuals with hypertension in Gue Gajah Village, Darul Imarah District. The methodology applied was quantitative research with a quasi-experimental design, and the data collection pattern was a single group with pre- and post-treatment measurements (one group pretest-posttest). From a total of 328 hypertensive patients in the area, 15 research participants were purposively selected as samples. The study process took place from May 2 to 28, 2025. The results of the analysis using a paired t-test showed a significant change in blood pressure between before and after the foot reflexology treatment, both in systolic pressure (p-value = 0.000; p < 0.05) and diastolic pressure (p-value = 0.000; p < 0.05). Based on these findings, it can be stated that foot reflexology massage therapy has an effect on lowering blood pressure in hypertensive patients. These findings are expected to serve as a reference for health workers to expand the use of non-pharmacological interventions in the management of hypertension and open opportunities for further research with larger sample sizes and designs.

Patients with chronic kidney disease (CKD) often experience shortness of breath, fatigue, and a decline in quality of life due to fluid imbalance, anemia, and reduced lung capacity. These conditions highlight the need for simple, safe, and effective non-pharmacological interventions. This community service program, titled “Napas Lega Bersama” (“Breathing Relief Together”), aimed to improve the knowledge and skills of CKD patients in applying pursed-lip breathing (PLB) techniques as a strategy to enhance breathing patterns and overall well-being. The activity was conducted at a partner hospital’s hemodialysis unit through educational sessions, live demonstrations, and guided PLB practice over a two-week period. Pre- and post-program assessments were performed using standardized questionnaires to measure participants’ knowledge and perceived quality of life. The results showed an 85% increase in participants’ understanding of PLB and a 70% improvement in perceived comfort and daily activity performance after the intervention. Participants also reported reduced shortness of breath and greater relaxation during dialysis sessions. This program demonstrates that pursed-lip breathing can serve as a simple and effective complementary therapy to improve the quality of life of CKD patients. It is recommended that this initiative be continued through routine mentoring and interdisciplinary collaboration to promote therapeutic breathing exercises across healthcare settings.

This Community Service (PKM) activity aims to improve the English language skills of Micro, Small, and Medium Enterprises (MSMEs) operating in the tourism sector in the Whale Shark area of ​​Sumbawa. This training program is designed with a focus on mastering vocabulary and practical expressions commonly used in the context of tourism services, especially for interacting with foreign tourists. The material provided includes English for Tourism with a participatory, contextual, and applicable approach. The training method includes role-play activities, conversation simulations, and various practical exercises adapted to real-life situations in tourism activities in the Whale Shark area. During the implementation, participants were actively involved in the learning process through direct practice and group discussions. Based on the results of the evaluation, this activity showed a significant increase in the participants' self-confidence and English communication skills. Thus, this training has proven effective in helping MSMEs in tourism to be better prepared to face the global market and provide higher-quality services to foreign tourists, while also supporting the development of local tourism destinations based on foreign language competency.

The problem addressed in this community service project is the low understanding of PKBM Permata Paket B students in applying mathematics to everyday life. The objective of this study is to improve students' understanding of mathematics through context-based learning, as well as to stimulate their interest and independence in solving problems involving numbers. The method used is a contextual teaching approach involving group discussions, problem-solving exercises, and real-life problem applications. The results show that context-based mathematics learning significantly improved students' understanding of budgeting, expenses, and personal finance management. Students also showed increased active participation in learning activities and a better ability to connect mathematical theory with practical problems in their daily lives. This program also had a positive impact on social empowerment, increasing students' independence in managing their daily lives. However, challenges related to understanding more complex concepts remain, and it is recommended to use more varied methods and extend the learning time in the future.

Osteoarthritis (OA) is one of the most common degenerative diseases of the joints experienced by the elderly, characterized by damage to cartilage that causes pain, stiffness, and decreased joint function. This disease usually occurs in joints that support body weight, such as the knees, which can interfere with the mobility and quality of life of the elderly. To overcome this, one approach that can be done is physiotherapy, which focuses on strengthening exercises to improve joint stability and function. Exercises such as straight leg raise, heel raise, and wall squat can help strengthen the muscles around the knee joint, reduce pain, and improve mobility in the elderly. This physiotherapy counseling was carried out at the Sawojajar Posyandu on October 20-24, 2024, with the aim of educating the elderly about Osteoarthritis and providing strengthening exercises. During the activity, pre-tests and post-tests were carried out to measure the effectiveness of the counseling. The results of the evaluation showed an increase in the elderly's knowledge about OA and their ability to perform the strengthening exercises that had been taught. The education delivered using leaflets also helps the elderly better understand ways to prevent and manage OA with proper physical exercise. In conclusion, this activity succeeded in improving the knowledge and skills of the elderly in dealing with Osteoarthritis through structured and easy-to-understand physiotherapy interventions.

In human life, sports play a very important role as they can influence both physical and psychological conditions. Through regular physical activity, individuals not only achieve physical fitness but also maintain mental and emotional balance. One type of exercise that is interesting to study is slow running, which involves running at a steady but gentle pace. This study focuses on examining the effectiveness of group slow running on levels of happiness. The subjects of this research were students from the Psychology Department at Universitas Negeri Padang, class of 2021, aged between 18 and 21 years old. The study employed a quantitative method with an experimental approach using a pretest-posttest control group design. Two groups were involved in this research—an experimental group and a control group—each receiving different treatments. Measurements were conducted before and after the intervention to observe changes in happiness levels. The results of the independent sample t-test analysis showed a significance value of 0.003, which is smaller than α = 0.05. This indicates a significant difference between the two groups. Therefore, it can be concluded that group slow running is effective in increasing happiness among adolescents, particularly university students, as it fosters feelings of relaxation, enthusiasm, and togetherness.

Shuttlecock industry workers in Arjosari Village perform many repetitive activities that involve intensive use of their upper extremities, putting them at high risk of musculoskeletal disorders, particularly frozen shoulder. This condition is characterized by pain, limited movement, and decreased shoulder function, which can interfere with work productivity. This community service activity was carried out through community physiotherapy counseling with a promotive and preventive approach, using leaflets, ergonomic education, and demonstrations of simple exercises such as cross-body arm stretches, pendulum exercises, arm circles, finger walk exercises, and towel exercises. The methods used included pre-tests, material delivery, exercise practice, discussions, and post-tests to assess knowledge improvement. The results of the activity showed that the majority of workers had experienced initial shoulder complaints, with a predominance of female respondents (93.33%). Average knowledge increased from 0% on the pre-test to 100% on the post-test. The counseling proved effective in increasing workers' understanding of frozen shoulder prevention, thereby reducing the risk of shoulder pain and increasing work productivity

Osteoarthritis of the knee is a degenerative condition of the knee joint characterized by the thinning of cartilage, leading to friction between the femur and tibia. This condition results in pain, limited joint mobility, and reduced strength of the quadriceps and hamstring muscles. Physiotherapy plays a crucial role in reducing these symptoms through modality-based approaches and structured exercise therapy. This study is a case study involving a single patient with right knee osteoarthritis. Data were collected through direct observation and evaluation of therapeutic outcomes. Interventions were conducted over four sessions using Transcutaneous Electrical Nerve Stimulation (TENS) to reduce pain, Ultrasound to enhance blood circulation and reduce inflammation, and exercise therapy focusing on improving muscle strength and joint range of motion. After four therapy sessions, there was a reduction in pain intensity, improved strength of the quadriceps and hamstrings, and increased joint range of motion. These results demonstrate that the combination of TENS, ultrasound, and exercise therapy is effective in improving function and quality of life for patients with right knee osteoarthritis. This study emphasizes the importance of a multimodal physiotherapy approach in managing chronic musculoskeletal disorders.

Rheumatism in the elderly can cause chronic pain that affects the quality of sleep. One of the factors influencing the sleep pattern of elderly patients with rheumatism is the level of physical activity. Insufficient physical activity can worsen joint stiffness and increase sleep disturbances. This study aims to examine the effect of physical activity on sleep patterns in elderly rheumatism patients at the Sumber Pucung Elderly Posyandu, Malang Regency. This study is a quantitative study with an analytical correlational design using a cross-sectional approach. The population of this study consisted of all elderly rheumatism patients at the Sumber Pucung Elderly Posyandu, totaling 33 people. The sampling technique used was total sampling. The study was conducted from July 20 to 27, 2025. Data collection instruments used the Global Physical Activity Questionnaire (GPAQ) and the Pittsburgh Sleep Quality Index (PSQI) questionnaires. The results showed that most respondents (90.9%) had low physical activity and all respondents (100%) had poor sleep patterns. The simple linear regression test yielded a significance value of p = 0.479 (p > 0.05) and R Square = 0.016, indicating no significant effect of physical activity on sleep patterns. Based on these results, it is expected that elderly rheumatism patients can increase physical activity according to their abilities to help maintain sleep quality, and Posyandu officers can provide education and elderly exercise programs appropriate for rheumatism conditions.

Musculoskeletal disorders (MSDs) represent a prevalent health issue among clinical medical students, with global studies reporting incidence rates of 73% in India and 81.9% in Saudi Arabia. Pain is most frequently reported in the neck, lower back, and shoulder areas. However, similar data from Indonesia, particularly Papua, remains limited. This study aims to identify the prevalence and risk factors of MSDs among clinical medical students at the Faculty of Medicine, Cenderawasih University. The research employed a cross-sectional design with a sample of 78 clinical students selected through purposive sampling. Data collection utilized the Standardized Nordic Musculoskeletal Questionnaire (NMQ) to measure prevalence and the Nordic Body Map to localize pain. Data analysis used Chi-Square test to evaluate the relationship between risk factors (such as Body Mass Index/BMI and physical activity) and musculoskeletal complaints. Results showed the majority of respondents were female (74.4%) and aged ≥25 years (51.3%). Most respondents experienced pain at the "moderate pain" level (57.7%), with the most frequently reported pain areas being the back, waist, calves, knees, shoulders, and wrists. There was a statistically significant relationship between BMI and pain complaints (p=0.035), but no significant relationship was found between physical exercise and musculoskeletal complaints (p=0.129). This study concludes that BMI is a risk factor for MSDs in the studied population. Evidence-based recommendations are needed to reduce MSD risk and improve students' quality of life during clinical education.

Introduction: Pregnancy is a natural process that every woman experiences. During pregnancy, pregnant women experience many changes, both physiological and psychological. These changes can cause various symptoms in each pregnant woman. Some common complaints during pregnancy include nausea and vomiting, back pain, edema, and shortness of breath. Method: This activity was conducted through counseling aimed at explaining the condition and understanding it to pregnant women. This activity used leaflets and live demonstrations so that participants could perform exercises correctly. Conclusion: After conducting counseling on the role of physiotherapy in pregnancy problems at the integrated health posts (Posyandu) for pregnant women in Sempulang Village, Janju Village, and Keluang Lolo Village, it can be concluded that education is important regarding understanding good exercises to do during pregnancy, such as child pose, cat and camel exercise or yoga for pregnant women, and breathing exercises. This is useful for reducing and preventing symptoms during pregnancy by always paying attention to signs of when to stop the exercise.

Prenatal exercise plays a vital role in maintaining the physical and mental well-being of pregnant women. This activity helps reduce common discomforts such as back pain, enhances stamina, and strengthens pelvic muscles in preparation for childbirth. However, knowledge among pregnant women regarding safe and effective exercises remains limited. The lack of structured information often leads to uncertainty and discourages participation in physical activities during pregnancy. This condition highlights the need for well-directed and comprehensive physiotherapy education. This community service program was conducted in Building B of the Kedungkandang Community Health Center and involved 15 participants. A holistic approach was employed, combining interactive counseling to convey the theoretical benefits and safety of exercise, group discussions to share experiences, and practical demonstrations. The exercises demonstrated were carefully selected to be simple, safe, and easy to perform independently at home, ensuring continuity beyond the educational sessions. The results indicated a significant improvement in participants’ knowledge, as evidenced by the comparison between pre-test and post-test scores. This improvement reflects the growing awareness among pregnant women of the importance of maintaining fitness through structured and safe physical activity. Continuous education through a community physiotherapy approach is necessary to ensure consistent implementation of prenatal exercise and to support long-term behavioral changes toward better maternal health.

A safe and healthy environment is crucial to minimizing accidents and occupational diseases, and this is where Occupational Health and Safety (OHS) comes in. Workers in the informal sector, such as online drivers, are more likely to experience musculoskeletal problems, especially low back pain (LBP), because they frequently lack proper occupational protection and health services. LBP is a complaint of lower back pain that can be brought on by extended periods of static sitting, bad posture, and personal characteristics like body mass index, smoking, and length of service. The purpose of this program is to educate online drivers in Malang City, East Java, and help them avoid LBP. The risk of LBP can be decreased in part by promoting physical activity and education. One recommended intervention is the William Flexion Exercise (WFE), an exercise aimed at improving posture, increasing muscle strength and flexibility, and reducing lower back pain. Implementing WFE education and training for online car drivers is anticipated to strengthen OHS awareness and reduce the incidence of LBP among informal sector workers.

Osteoarthritis is a degenerative joint disease whose exact cause is not yet fully understood. This condition is characterized by damage to the articular cartilage, resulting in pain, joint stiffness, decreased muscle strength, muscle spasms, and reduced functional activity of the patient. Several factors contribute to the development of osteoarthritis, including age, gender, race, genetic factors, smoking habits, history of trauma, type of occupation or physical activity, exercise habits, and obesity. The prevalence of osteoarthritis increases with age; among individuals aged 65–74 years, approximately 39% experience knee osteoarthritis and 23% experience hip osteoarthritis. In those over 70 years old, almost all individuals, both men and women, show symptoms of this condition. Osteoarthritis is a chronic progressive disease characterized by inflammation of the articular cartilage and synovial membrane, which causes persistent pain, joint stiffness, decreased muscle strength, and reduced mobility. Physiotherapy management for this condition aims to reduce pain, improve muscle strength, and enhance joint function. Common therapeutic modalities used include Shortwave Diathermy (SWD), Transcutaneous Electrical Nerve Stimulation (TENS), and the Hold Relax exercise technique, which helps relax muscles and increase joint range of motion

This study provides a detailed equity analysis of the Deli Serdang Regency local government by evaluating its financial statements from 2020 to 2023 and interpreting results through the lens of International Financial Reporting Standards (IFRS) and public sector accounting principles. The analysis examines trends in assets, liabilities, and equity, computes key financial ratios, and discusses implications for fiscal sustainability, transparency, and governance. The study combines quantitative ratio and trend analyses with a qualitative review of notes to the financial statements and a reconciliation exercise mapping local government reporting (SAP/APBD disclosures) to IFRS/IPSAS concepts. Findings (illustrative data) show a positive but modest growth in equity, persistent dependence on intergovernmental transfers, and opportunities to improve asset valuation and liability recognition practices. The paper concludes with practical recommendations for policy-makers and local finance managers and suggests a road map for incremental IFRS-aligned reporting in the local government context.